Re: [ozmidwifery] GDM question

[Michelle Windsor]

Hi Jo,

 

As per the Cochrane Data Base, there is no evidence to support glucose testing in pregnancy, and it is not accurate at least 50%-70% of the time. Even if the test was positive, there is no evidence to support treating gestational diabetes.  Treating gestational diabetics with insulin reduced macrosomia (however most macrosomic babies are born to non-diabetic mothers) but there were no improvements in other outcomes such as caesarean section, shoulder dystocia, or perinatal mortality.  So.... my opinion would be to forget the GTT.

 

Cheers

Michelle
JoFromOz <[EMAIL PROTECTED]> wrote:

Hello you intelligent List-Wives...

I have decided for various reasons not to have the routine GTT during my
pregnancy, and now, at 33 weeks, I have had a small trace of glucose in
my urine the last few weeks. Tonight I checked at work at I had a
definite plus, not trace, of glucose. I did a BSL at the same time, and
it was only 4.2. My question is, was my glucose higher before and my
body just got rid of it for me, or is my body just good at getting rid
of it via the urine instead of insulin? Or should I stop worrying? OR
should I go ahead and do the GTT like my workmates insist I should have
done in the first place?

Thanks!

Otherwise, pregnancy is wonderful apart from the sore hips trying to
sleep :)

Jo (RM)

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